| Maui Integrated Therapy Llc | |
|
1102 Mole Pl Makawao HI 96768-9349 | |
| (808) 868-9536 | |
| Not Available |
| Full Name | Maui Integrated Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1102 Mole Pl, Makawao, Hawaii |
| Authorized Official Name and Position | Alissa Rae Harris (OWNER) |
| Authorized Official Contact | 8088689536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maui Integrated Therapy Llc 1102 Mole Pl Makawao HI 96768-9349 Ph: (808) 868-9536 | Maui Integrated Therapy Llc 1102 Mole Pl Makawao HI 96768-9349 Ph: (808) 868-9536 |
| NPI Number | 1922870302 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922870302 | NPI | - | NPPES |
| 1215434659 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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